Access to Civil Registration Data
Manchester City Council · Local Authority
In term In term in the September 2026 edition: the latest version runs to 31 May 2027.
- Reference
- DARS-NIC-147809-X5N8G
- Current version
- v4.3
- Term of current version
- 27 May 2024 to 31 May 2027
- Start date
- Before 1 June 2019
- Data controller
- Sole Data Controller
- Commercial purposes
- No
- Sublicensing
- No
- Files released to date
- 127
Why the data was released
Objective for processing
The births and deaths data is of significant value to the Local Authority (LA) in enabling analysts to respond to local public health needs. Evaluations of births and deaths in their local area allows local authorities to perform the following:
a) Measuring the health, mortality or care needs of the population within a specific geographical area or population group and planning how these can be improved/ met;
b) Planning, delivering, monitoring and managing immunisation programmes;
c) Protecting or improving the public health, including such subjects as the incidence of disease, the characteristics (e.g. age, gender, occupation) of persons with disease, the risk factors pertaining to sections of the population, investigating specific areas of local concern relating to the health of the local population, or the effectiveness of medical treatments.
The births and deaths data both contain identifiable data which is required when linking into other datasets to enhance and verify the statistics produced, or to investigate specific areas of local concern relating to the health of the local population.
Such local investigations will reflect local need and thus vary in relation to the specific local authority, but the detail below provides specific examples of such local investigations which provide evidence on why identifiable data is needed in order to carry out the purposes stated within a), b) and c) above.
Each Local Authority will only be permitted to process the data in the way outlined in this Data Sharing Agreement and in accordance with Regulation 3 of the Control of Patient Information Regulations 2002. Processing outside the terms of this Data Sharing Agreement or Regulation 3 will require a separate application to amend this Data Sharing Agreement.
In relation to mortality data:
Suicide Audit – As part of on-going (or the introduction of) suicide audit processes identifiable information will be required to support this work. Such audits require specific identifiable fields, including postcode of usual residence and postcode of place of death (further refined using the place of death text) to analyse and investigate of deaths in public places to support work on accident prevention strategies and the identification of hotspots and locational characteristics for accidental harm and suicide. For example, exact postcode is used to calculate distance from home address to identify suicide hotspots which are a distance from place of resident as a further means of classifying risk. NHS number, date of death and date of registration fields are used when conducting local audits at the coroner’s office, to match their records with the death record in order to supplement information which is subsequently aggregated within the final internal report.
To expand on what is noted above, postcode of residence and place of death (further refined using the place of death text) is used for hotspot mapping and in particular is used to inform suicide prevention work through target hotspot areas of location types within the county and undertake specific preventative work. Pseudonymised data would be insufficient as lower super output areas or partial postcode) cover too large an area to identify exact locations and features or calculate distance from home, especially in more dispersed rural areas, where locations may be many miles apart. This granularity of data is required since the local authorities are where appropriate taking specific locally based action rather than just authority wide activity. The suicide audit process involves collecting information from services such as police, healthcare providers and GP practices of the factors involved in the suicide and NHS number, date of death and other identifiable data will be essential for doing this. As with the hotspot work this is about understanding risk, detecting local issues to inform evidence-based interventions addressing known local factors.
Accidental/Preventable Deaths – Postcode of usual residence and postcode of place of death (further refined using the place of death text) are used for the analysis and investigation of deaths in public places to support work the identification of hotspots and locational characteristics for accident – with identification of types of areas (e.g. parks, railway lines, pavements) as well as particular locations. This level of analysis enables preventative work to be targeted to high risk areas (both in terms of residence as well as occurrence). As a specific example relating to one Local Authority, it carried out work that identified a number of suicides at a particular railway location, and hence facilitated suicide prevention training with staff members at their local Railway Station.
In conjunction with postcode of usual residence and postcode of place of death, detailed analysis of cause of death allows the monitoring of patterns of preventable or amenable disease, particularly avoidable deaths including the major killers, i.e. circulatory, cancer and respiratory disease.
Seasonal monitoring of deaths – Date of death is used both to establish seasonal patterns of mortality (such as excess winter deaths) and the correlation of this with data on weather conditions and local health and social care system pressures, and in the case of any deaths going to coroner to track the length of time between death and registration.
In relation to local population health needs:
Bespoke geography analysis – The postcode also enables analysis by non-coterminous geographies such as highly trafficked roads so the Local Authority can complete aggregate analysis of areas with particular risk factors – for example to see if people living on main roads have high risks of respiratory disease than people who live on cul-de-sacs.
The postcode and place of death text also enables Local Authorities to identify locations of particular types such as care homes or other residential institutions, analysis of deaths by homes enables targeted prevention work (such as control of infection or falls prevention).
Further, bespoke geographies created by postcodes support the assessment of environmental risks to health. For example, a Local Authority may be required to investigate a number of residential streets which have been built on potentially contaminated ground to see if there are any unusual disease patterns. One specific Local Authority needed to identify deaths where the person was resident in particular streets, in the case of a previous cancer cluster possibly relating to chemicals in soil.
Postcodes are used to identify births along these roads to see if there are increased risks of low birth-weight or stillbirths.
Deprivation and inequalities – Postcode is also used to sum data to aggregate geographies that are not based on Lower layer Super Output Areas (LSOA), to facilitate partnership working and to look at small area clusters such as pockets of deprivation, poor quality housing and inequalities in healthcare provision which are all found to be smaller than an LSOA level, identifying the conditions contributing to the greatest levels of premature and preventable deaths, and identifying areas for further investigation.
Child deaths and stillbirths – Identifiable data is also required to provide any data needed to fulfil Local Authorities’ duties for audit under the Child Overview Death Panel and other Safeguarding investigations (looking at population trends rather than individual cases) – using NHS numbers to identify these cases and look for patterns, date of birth of mother/postcode of mother to investigate trends based on mother’s location or age.
Investigations of medical professionals – there is a requirement for NHS number to facilitate investigations by medical professionals into unusual patterns of death; this is part of the Local Authority’s statutory duty to protect the health of the population from risks to Public Health, from both medical conditions and also from clinical practice. Some recent specific examples include:
• An unusually high number of deaths from epilepsy were noted from the data, and these were audited against GP practice data having had access to identifiable data to identify records.
• GP practices raised concerns about health in their practices, having noticed clusters of cases that they request the Local Authority to investigate.
Seasonal monitoring of births – Local Authorities have a requirement for the inclusion of date of birth of child as it is used to monitor seasonal patterns of births. Postcode of usual residence of mother and postcode of place of birth of child are also used to establish and monitor distance from home to place of birth and monitor catchment areas for different providers for future health service planning covering areas based on postcodes rather than LSOA. This will not include any data sharing with providers or other third parties.
Age of mother is required to investigate trends in both young mothers (to support teenage conception and Family Nurse Partnership programmes) and older mothers (to support service planning for higher risk pregnancies). This will not include any data sharing with providers or other third parties.
Processing activities
Due to the planned decommissioning of the Primary Care Mortality Dataset (PCMD) by NHS England during the period of this Data Sharing Data Sharing Agreement, the provision of the PCMD data will be replaced by Civil Registrations of Death Dataset. The data provided will remain the same and after a full refresh of all the historic data has been provided in the new format, the Local Authority will be required to destroy the previously supplied PCMD Data.
***************************************
Users will receive data related to their Local Authority area only (this includes ICBs for their LA only).
Deaths data:
Mortality data will be made securely available to the Local Authority for the duration of this Data Sharing Agreement. Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
Births data:
The births data for each defined local authority is securely distributed to the LA each quarter by NHS England together. Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
Various extracts from the births and deaths data will be taken for relevant time periods and localities to enhance and inform public health projects for the local area such as:
• End of life projects,
• epidemiology,
• local mortality variations and
• local GP mortality variations
Access to the data is provided to individuals within the Local Authority only. The data will only be processed by the aforementioned Local Authority employees in fulfilment of their public health function and will not be transferred, shared, or otherwise made available to any third party, including any organisations processing data on behalf of the Local Authority or in connection with their legal function. Such organisations may include Commissioning Support Units, Data Services for Commissioners Regional Offices, any organisation for the purposes of health research, or any Business Intelligence company providing analysis and intelligence services (whether under formal contract or not).
Conditions of supply and controls on use:
The Director of Public Health will be the Information Asset Owner for the births and deaths data and be responsible on behalf of the Local Authority to NHS England for ensuring that the data supplied is only used in fulfilment of public health purposes in accordance with Regulation 3 of the Control of Patient Information Regulations 2002 and as set out in this Data Sharing Agreement. The Local Authority confirms that the Director of Public Health is a contracted employee to the permanent role within the Local Authority, accountable to the Chief Executive.
Data must be processed according to the terms in this Data Sharing Agreement. Data must only be used for public health purposes and not used for administrative and other activities such as list cleaning.
Data may only be linked to other data with explicit permission from NHS England and only as described in this Data Sharing Agreement.
Data cannot be shared with any third party who is not identified in this Data Sharing Agreement at anything other than an aggregated level (with small numbers suppressed).
Expected output
A mixture of regular annual projects and ad hoc projects triggered by local conditions will require the use of births and deaths data that will result in published summary statistics for public health projects, and these may be used internally or externally with partners in the project.
Typical uses of deaths data are for the following:
a) Joint Strategic Needs Assessments (JSNAs);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) Suicide audits (this specifically requires NHS number)
j) End of life care projects
k) Abdominal Aortic Aneurysm (AAA) screening programme
l) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
Typical uses of births data are for the following:
a) Joint Strategic Needs Assessments (JSNAs);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, and others as appropriate, for example on the timetable for publishing refreshed JSNAs.
Health protection projects using births and death data include the monthly monitoring of deaths from Mesothelioma, drug-related deaths, and alcohol-related deaths; the suicide audit and suicide prevention task group; the monitoring of deaths from infectious and vaccine preventable diseases; the investigation of outcomes of healthcare associated infections; the monitoring of winter deaths to identify pressures on care services; and the monitoring of child deaths for the local safeguarding children board.
Statistical outputs using births and mortality data include local breakdowns of mortality rates by area, deprivation, age sex and ICB locality (preventable deaths, circulatory disease, cancer and suicide) for Health and Wellbeing Board and Public Health outcomes reports; birth rates, distribution of births by location/setting and life expectancy for JSNA community profiles; detailed analyses of overall and condition-specific mortality rates, life expectancy, stillbirths, births by maternal age, low birth weights, abortions for the Annual Public Health Report; population projections for non-standard geographic areas (including new town and development areas); and the analysis of birth rates, birth weight, stillbirths and mortality rates from specific conditions for service areas and health needs assessments as required.
All outputs will be of aggregated data (with small numbers suppressed).
Expected measurable benefits
The projects are carried out in order to improve public health and will result in local adjustments to services to reduce mortality where possible and inform decisions and policies.
This data assists Local authorities in tailoring local solutions to local problems, and using all the levers at their disposal to improve health and reduce inequalities and it helps to create a 21st century local public health system, based on localism, democratic accountability and evidence as directed in the Health and Social Care Act 2012.
Expected benefits of using births and/or deaths data:
The data is of great benefit to health and social care, and the use of it has led to considerable benefits to public health. The data is used to identify patterns and trends in mortality rates, life expectancy and premature death, highlighting differences between geographic areas, age, sex and other socio-economic characteristics. It is also used specifically to identify health inequalities and differences between areas which is critical for the planning, distribution and targeting of health, care and public health services. It is used to set recommendations in the Annual Public Health Report, which inform the commissioning and coordination of public health services.
Further to preventable deaths use, premature deaths can be analysed, audits are undertaken to identify all those who died prematurely. This was used to look at the care pathways, develop new prevention programmes and implement positive change within primary care. Risk prevention for public health. This is covered by the statutory duty to provide a Public Health Advice Service.
It is used within the Joint Strategic Needs Assessment to identify priority communities in the Local Authority, to establish the impact of different risk factors and social determinants on mortality rates, and informs the identification of JSNA priorities for the Local Authority. The JSNA directly informs the priorities in the Joint Health and Wellbeing Strategy, which is produced by the Health and Wellbeing Board, and is directly reflected in the commissioning plans of health and care organisations locally.
As well as this strategic focus, the data also informs specific actions, decisions and changes within the area covered by the Local Authority. An example of this is suicide prevention work, where the data has aided the identification of suicide hotspots and risk factors which has informed the local suicide prevention strategy which has directed interventions and changes within the county. As the data informs the Joint Strategic Needs Assessment, Health and Wellbeing Board and other multi-agency work, and has a direct relationship with commissioning plans and specific actions, the benefits are achieved collective across the local health and care economy through the Health and Wellbeing Board membership organisations (including health commissioners, social care, public health, council members, police and probation services, Healthwatch and other community representatives) and beyond. The benefit to the local population is that health, social care and public health services are tailored to the issues and areas of greatest needs and are focused on reducing health inequalities, with specific reference to life expectancy and mortality rates. Reductions in premature mortality rates are influenced by the design and targeting of local services to address the differences highlighted through an analysis of the data. Specific interventions around suicide and accident prevention use information from the data to identify specific hotspots and risk factors locally, which in turn are used to protect the public health.
This data assists local authorities in tailoring local solutions to local problems, and using all the levers at their disposal to improve health and reduce inequalities and it helps to create a 21st century local public health system, based on localism, democratic accountability and evidence as directed in the Health and Social Care Act 2012.
Specific steps taken to protect the health of the local population using births and deaths data within a Local Authority will include the setting of priorities within the Annual Public Health Report, the Joint Health and Wellbeing Strategy and the commissioning plans of local health and care organisations. These strategic documents are underpinned by an analysis of births and mortality data including local, regional and national variations for the purposes of identifying priority areas, highlighting where health inequalities are greatest, identifying the conditions contributing to the greatest levels of premature and preventable deaths, and identifying areas for further investigation. The health of the local population is also protected through the monitoring of monthly trends in mortality rates and birth rates to identifying any emerging trends or sudden increases.
Benefits reported so far
Civil Registration data has been used for a number of purposes, including:
i) Analysis of recent patterns and trends in infant deaths over time to support the annual review of the Manchester Reducing Infant Mortality Strategy. The published strategy makes extensive use of Civil Registration data, which has also been used as part of committee reports and updates to senior leaders across the health and care system (see http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy).
ii) Further analysis of deaths from suicide and undetermined injuries as part of the work to refresh the Manchester Suicide Prevention Plan. Civil Registration data is at the heart of the Manchester Suicide Prevention Plan, the actions in which have helped to address the high number and rate of suicide in Manchester (see https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf).
iii) Excess mortality due to extreme weather events. Analysis has been undertaken to quantify the level of excess mortality during periods of extreme weather (both hot and cold temperature periods) to estimate how many additional residents may have died during these events potentially as an adverse impact of the extreme temperature. This enables the Local Authority to monitor whether climate change related mortality is increasing over time. National data indicates increasing frequency of extreme weather events and we can supplement this with an understanding of what the impact of this is on Manchester residents.
iv) Childhood accidents. Analysis of trends in mortality due to accidents in children has been summarised to inform conversations around unintentional injury prevention with our Healthy Schools team. This enables the team to plan prevention activities that will target causes of accidents that are most common.
v) Alcohol licensing activities. Public Health can make representations where premises apply for licenses or extensions to licenses. Data on alcohol related mortality (both broad and narrow definitions) has been incorporated into an alcohol licensing matrix that gives insight into areas of the city with higher rates of alcohol related mortality. This helps to make the case in support of licensing restrictions being imposed for proposals that are deemed to be at risk of exacerbating harms from alcohol. Deaths data can also be used to develop an understanding of the number of residents of no fixed abode who are registered with local GPs, which is not possible through other data sources such as existing published alcohol related mortality rates.
Datasets on the current version
Legal basis for provision: Health and Social Care Act 2012 - s261(5)(d)
| Dataset | Type of data | Sensitivity | Frequency | Confidential data |
|---|---|---|---|---|
| Civil Registration - Births | Identifiable | Non-Sensitive | Ongoing | Statutory exemption to flow confidential data without consent |
| Civil Registrations of Death | Identifiable | Sensitive | Ongoing | Statutory exemption to flow confidential data without consent |
| Primary Care Mortality Data | Identifiable | Sensitive | Ongoing | Statutory exemption to flow confidential data without consent |
Files released
Files released counts only files released externally by DARS. Access granted in NHS England's own systems, such as its Secure Data Environment, is not included.
Patient opt-outs were not applied to any of the 127 files released under this agreement, across every version. About opt-outs
Files released against version 4.3 of this agreement, summarised by dataset.
| Dataset | Files | First released | Last released | Opt-outs applied |
|---|---|---|---|---|
| Primary Care Mortality Data | 29 | April 2024 | August 2026 | No |
| Civil Registration - Births | 13 | July 2024 | July 2026 | No |
Version history
The register lists each renewal of this agreement as a separate row. This site has 4 versions — earlier versions existed before this site's records begin.
DARS-NIC-147809-X5N8G-v4.3 27 May 2024 to 31 May 2027
- Title
- Access to Civil Registration Data
- Commercial
- No
- Sublicensing
- No
- Datasets
- 3
- Files released
- 42
Datasets: Civil Registration - Births; Civil Registrations of Death; Primary Care Mortality Data
What changed from DARS-NIC-147809-X5N8G-v3.4
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2024-05-27 | |
| End date | 2027-05-31 | |
| Civil Registration - Births: common law duty of confidentiality | Statutory exemption to flow confidential data without consent | |
| Primary Care Mortality Data: common law duty of confidentiality | Statutory exemption to flow confidential data without consent |
Datasets:
+ Civil Registrations of Death · − Vital Statistics Service
Objective for processing
The births and deaths data is of significant value to the Local Authority
(LA)
in enabling analysts to respond to local public health needs. Evaluations of births and deaths in their local area allows local authorities to perform the following:
a) Measuring the health, mortality or care needs of the
population, for
population within a
specific geographical area or population
group;
group and planning how these can be improved/ met;
b) Planning, evaluating or monitoring health and social care policies, services or interventions; and,
b) Planning, delivering, monitoring and managing immunisation programmes;
[1 paragraph unchanged]
The births and deaths data both contain identifiable data which is required
[15 words unchanged]
specific areas of local concern relating to the health of the local
population, e.g. deaths data is used to produce suicide audits by linking into hospital / GP / social care data and births data can be linked into child care / social care systems when infant deaths are investigated usually as part of local “Safeguarding Children” projects.
population.
[1 paragraph unchanged]
Each Local Authority will only be permitted to process the data in the way outlined in this
application.
Data Sharing Agreement and in accordance with Regulation 3 of the Control of Patient Information Regulations 2002.
Processing outside the terms of this
application
Data Sharing Agreement or Regulation 3
will require a separate application
as an amendment
to
amend
this
agreement
Data Sharing Agreement.
In relation to mortality
data :
data:
[10 paragraphs unchanged]
Deprivation and inequalities – Postcode is also used to sum data to aggregate geographies that are not based on
LSOAs,
Lower layer Super Output Areas (LSOA),
to facilitate partnership working and to look at small area clusters such
[30 words unchanged]
levels of premature and preventable deaths, and identifying areas for further investigation.
Child deaths and stillbirths – Identifiable data is also required to provide any data needed to fulfil
our
Local Authorities’
duties for audit under the Child Overview Death Panel and other Safeguarding investigations
(looking at population trends rather than individual cases)
– using NHS numbers to identify these cases and look for patterns, date of birth of mother/postcode of mother to investigate trends based on mother’s location or age.
Audit
Investigations
of medical professionals – there is a requirement for NHS number to facilitate
clinical audits
investigations
by medical professionals into unusual patterns of death; this is part of
[18 words unchanged]
both medical conditions and also from clinical practice. Some recent specific examples
include :-
include:
[2 paragraphs unchanged]
• Following the Shipman Enquiry recommendations, Local Authorities are required to investigate any concerns raised about clinical practitioners. This duty was given to PCTs in 2007, but information source is the PCMD and is part of the PH duty to provide analysis and evidence to CCGs.
Seasonal monitoring of births – Local Authorities have a requirement for the inclusion of date of birth of child as it is used to monitor seasonal patterns of births. Postcode of usual residence of mother and postcode of place of birth of child are also used to establish and monitor distance from home to place of birth and monitor catchment areas for different providers for future health service planning covering areas based on postcodes rather than LSOA. This will not include any data sharing with providers or other third parties.
Seasonal monitoring of births – A Local Authorities have a requirement for the inclusion of date of birth of child as it is used to monitor seasonal patterns of births. Postcode of usual residence of mother and postcode of place of birth of child are also used to establish and monitor distance from home to place of birth and monitor catchment areas for different providers for future service planning covering areas based on postcodes rather than LSOA. This will not include any data sharing with providers or other third parties.
[1 paragraph unchanged]
Processing activities
Users will receive data related to their Local Authority area only (this includes CCGs for their LA only).
Due to the planned decommissioning of the Primary Care Mortality Dataset (PCMD) by NHS England during the period of this Data Sharing Data Sharing Agreement, the provision of the PCMD data will be replaced by Civil Registrations of Death Dataset. The data provided will remain the same and after a full refresh of all the historic data has been provided in the new format, the Local Authority will be required to destroy the previously supplied PCMD Data.
Deaths data
***************************************
Mortality data will be made securely available to the Local Authority for the duration of their agreement. Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
Users will receive data related to their Local Authority area only (this includes ICBs for their LA only).
Births data
Deaths data:
The births
Mortality
data
for each defined local authority is
will be made
securely
distributed
available
to the
LA each quarter by NHS Digital.
Local Authority for the duration of this Data Sharing Agreement.
Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
Births data:
The births data for each defined local authority is securely distributed to the LA each quarter by NHS England together. Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
[1 paragraph unchanged]
•
End of life projects,
epidemiology, local mortality variations and local GP mortality variations.
The processing will vary depending on the precise nature of the project, but will align with the public health statutory function. Access to the data is provided only to individuals within the Local Authority only, and will only be used for the health purposes outlined above. The data will only be processed by the aforementioned Local Authority employees in fulfilment of their public health function, and will not be transferred, shared, or otherwise made available to any third party, including any organisations processing data on behalf of the Local Authority or in connection with their legal function. Such organisations may include Commissioning Support Units, Data Services for Commissioners Regional Offices, any organisation for the purposes of health research, or any Business Intelligence company providing analysis and intelligence services (whether under formal contract or not).
• epidemiology,
Conditions of supply and controls on use
• local mortality variations and
The Director of Public Health will be the Information Asset Owner for the births and deaths data and be responsible on behalf of the Local Authority to NHS Digital for ensuring that the data supplied is only used in fulfilment of the approved public health purposes as set out in this agreement. The Local Authority confirms that the Director of Public Health is a contracted employee to the permanent role within the Local Authority, accountable to the Chief Executive.
• local GP mortality variations
Data must be processed according to the terms in this Agreement. Data must only be used for public health statistical purposes and not used for administrative and other activities such as list cleaning.
Access to the data is provided to individuals within the Local Authority only. The data will only be processed by the aforementioned Local Authority employees in fulfilment of their public health function and will not be transferred, shared, or otherwise made available to any third party, including any organisations processing data on behalf of the Local Authority or in connection with their legal function. Such organisations may include Commissioning Support Units, Data Services for Commissioners Regional Offices, any organisation for the purposes of health research, or any Business Intelligence company providing analysis and intelligence services (whether under formal contract or not).
This data may only be linked to other data with explicit permission from NHS Digital, and only as described in this Agreement.
Conditions of supply and controls on use:
Data cannot be shared with any third party who is not identified in this Agreement at anything other than an aggregated level (with small numbers suppressed) and where stated within this agreement.
The Director of Public Health will be the Information Asset Owner for the births and deaths data and be responsible on behalf of the Local Authority to NHS England for ensuring that the data supplied is only used in fulfilment of public health purposes in accordance with Regulation 3 of the Control of Patient Information Regulations 2002 and as set out in this Data Sharing Agreement. The Local Authority confirms that the Director of Public Health is a contracted employee to the permanent role within the Local Authority, accountable to the Chief Executive.
For both births and deaths data (Vital Statistics reports):
Data must be processed according to the terms in this Data Sharing Agreement. Data must only be used for public health purposes and not used for administrative and other activities such as list cleaning.
An annual set of Vital Statistics reports aggregated at national and local level are produced from the births and deaths data. This primarily covers a combined set of fields from the births and deaths data with some fields derived from using the births and deaths data. These data tables have no suppression applied as users receive record level births and deaths data via this application. These tables are disseminated by NHS Digital to users via SEFT.
Data may only be linked to other data with explicit permission from NHS England and only as described in this Data Sharing Agreement.
Data cannot be shared with any third party who is not identified in this Data Sharing Agreement at anything other than an aggregated level (with small numbers suppressed).
Expected output
[2 paragraphs unchanged]
a) Joint Strategic Needs
Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
Assessments (JSNAs);
[12 paragraphs unchanged]
a) Joint Strategic Needs
Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
Assessments (JSNAs);
[8 paragraphs unchanged]
The specific content and target dates for these outputs will be for
[8 words unchanged]
required to comply with national guidance published by the Department of Health,
Public Health England
and others as appropriate, for example on the timetable for publishing refreshed JSNAs.
Health protection projects using births and death data include the monthly monitoring of deaths from Mesothelioma, drug-related deaths, and alcohol-related deaths; the suicide audit and suicide prevention task group; the monitoring of deaths from infectious and vaccine preventable diseases; the investigation of outcomes of healthcare associated infections; the monitoring of winter deaths to identify pressures on care services; and the monitoring of child deaths for the local safeguarding children board.
Statistical outputs using births and mortality data include local breakdowns of mortality rates by area, deprivation, age sex and ICB locality (preventable deaths, circulatory disease, cancer and suicide) for Health and Wellbeing Board and Public Health outcomes reports; birth rates, distribution of births by location/setting and life expectancy for JSNA community profiles; detailed analyses of overall and condition-specific mortality rates, life expectancy, stillbirths, births by maternal age, low birth weights, abortions for the Annual Public Health Report; population projections for non-standard geographic areas (including new town and development areas); and the analysis of birth rates, birth weight, stillbirths and mortality rates from specific conditions for service areas and health needs assessments as required.
[1 paragraph unchanged]
Expected measurable benefits
[2 paragraphs unchanged]
Benefits
Expected benefits
of using births
/
and/or
deaths
data
data:
[5 paragraphs unchanged]
Specific steps taken to protect the health of the local population using
[104 words unchanged]
rates and birth rates to identifying any emerging trends or sudden increases.
The data is also vital to facilitate the local investigation of mortality rates for individual GP practices (consistent with the recommendations of the Shipman Inquiry) and to investigate differences between geographic areas as required. Mortality and births data is also used to inform the location of services and social marketing activities to address the areas of greatest need within the county.
Health protection projects using births and death data include the monthly monitoring of deaths from Mesothelioma, drug-related deaths, and alcohol-related deaths; the suicide audit and suicide prevention task group; the monitoring of deaths from infectious and vaccine preventable diseases; the investigation of outcomes of healthcare associated infections; the monitoring of winter deaths to identify pressures on care services; and the monitoring of child deaths for the local safeguarding children board.
Statistical outputs using births and mortality data include local breakdowns of mortality rates by area, deprivation, age sex and CCG locality (preventable deaths, circulatory disease, cancer and suicide) for Health and Wellbeing Board and Public Health outcomes reports; birth rates, distribution of births by location/setting and life expectancy for JSNA community profiles; detailed analyses of overall and condition-specific mortality rates, life expectancy, stillbirths, births by maternal age, low birth weights, abortions for the Annual Public Health Report; population projections for non-standard geographic areas (including new town and development areas); and the analysis of birth rates, birth weight, stillbirths and mortality rates from specific conditions for service areas and health needs assessments as required.
Benefits reported
[1 paragraph unchanged]
i) Analysis of recent patterns and trends in infant deaths over time
in order
to support the annual review of the Manchester Reducing Infant Mortality Strategy.
[21 words unchanged]
updates to senior leaders across the health and care system (see http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy).
ii) Further analysis of
death
deaths
from suicide and undetermined injuries as part of the work to refresh
[11 words unchanged]
heart of the Manchester Suicide Prevention Plan, the actions in which have
contributed
helped
to
a fall in
address
the
high
number and
rates
rate
of suicide in Manchester (see https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf).
iii) Understanding mortality associated with COVID-19 - Civil Registration data has been used extensively to explore deaths and excess deaths over the course of the Coronavirus pandemic, including trends and patterns of both overall mortality and deaths involving COVID-19 based on cause of death and place of death information contained in the Primary Care Mortality Dataset. Data has been reported to Manchester Health and Care Commissioning (MHCC) Performance and Quality Improvement Committee on a regular basis.
iii) Excess mortality due to extreme weather events. Analysis has been undertaken to quantify the level of excess mortality during periods of extreme weather (both hot and cold temperature periods) to estimate how many additional residents may have died during these events potentially as an adverse impact of the extreme temperature. This enables the Local Authority to monitor whether climate change related mortality is increasing over time. National data indicates increasing frequency of extreme weather events and we can supplement this with an understanding of what the impact of this is on Manchester residents.
iv) Care Home deaths involving COVID-19. Detailed analysis has been carried out to look at the impact of COVID-19 on mortality in care homes from the perspective of both place of death (deaths occurring in care homes) and place of usual residence (deaths of care home residents). This has been reported to the Manchester Care Home Board on a regular basis over the course of the pandemic.
iv) Childhood accidents. Analysis of trends in mortality due to accidents in children has been summarised to inform conversations around unintentional injury prevention with our Healthy Schools team. This enables the team to plan prevention activities that will target causes of accidents that are most common.
v) Alcohol licensing activities. Public Health can make representations where premises apply for licenses or extensions to licenses. Data on alcohol related mortality (both broad and narrow definitions) has been incorporated into an alcohol licensing matrix that gives insight into areas of the city with higher rates of alcohol related mortality. This helps to make the case in support of licensing restrictions being imposed for proposals that are deemed to be at risk of exacerbating harms from alcohol. Deaths data can also be used to develop an understanding of the number of residents of no fixed abode who are registered with local GPs, which is not possible through other data sources such as existing published alcohol related mortality rates.
DARS-NIC-147809-X5N8G-v3.4 1 June 2021 to 31 May 2024
- Title
- Access to Civil Registration Data
- Commercial
- No
- Sublicensing
- No
- Datasets
- 3
- Files released
- 57
Datasets: Civil Registration - Births; Primary Care Mortality Data; Vital Statistics Service
What changed from DARS-NIC-147809-X5N8G-v2.3
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2021-06-01 | |
| End date | 2024-05-31 |
Processing activities
[2 paragraphs unchanged]
Mortality data will be made securely available to the Local Authority for
a year at a time.
the duration of their agreement.
Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
[1 paragraph unchanged]
The births data for each defined local authority is securely distributed to the LA each quarter by NHS
Digital together with an annual refresh of the births data containing any required updates.
Digital.
Users may process the data to produce statistical output for public health purposes, this may be for internal review or summarised as anonymous data for publication.
[10 paragraphs unchanged]
Benefits reported
[1 paragraph unchanged]
i)
In-depth analysis
Analysis
of
infant deaths to identify
recent
patterns and trends
in infant deaths
over time in order to support the
development
annual review
of
the Manchester
Reducing Infant Mortality Strategy. The published strategy
(https://secure.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategyhttps://secure.manchester.gov.uk/downloads/download/7002/reducing_infant_mort) http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy)
makes extensive use of Civil Registration data, which has also been used as part of
numerous
committee reports and updates to senior leaders across
the health and care system (see http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy).
the health and care system.
ii) Further analysis of death from suicide and undetermined injuries as part of the work to refresh the Manchester Suicide Prevention Plan. Civil Registration data is at the heart of the Manchester Suicide Prevention Plan, the actions in which have contributed to a fall in the number and rates of suicide in Manchester (see https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf).
ii) Further analysis of death from suicide and undetermined injuries to underpin development of Manchester Suicide Prevention Plan.
iii) Understanding mortality associated with COVID-19 - Civil Registration data has been used extensively to explore deaths and excess deaths over the course of the Coronavirus pandemic, including trends and patterns of both overall mortality and deaths involving COVID-19 based on cause of death and place of death information contained in the Primary Care Mortality Dataset. Data has been reported to Manchester Health and Care Commissioning (MHCC) Performance and Quality Improvement Committee on a regular basis.
Civil Registration data is at the heart of the Manchester Suicide Prevention Plan (https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf). The actions identified in the plan have contributed to a fall in the number and rates of suicide such that Manchester is now below the England average
iv) Care Home deaths involving COVID-19. Detailed analysis has been carried out to look at the impact of COVID-19 on mortality in care homes from the perspective of both place of death (deaths occurring in care homes) and place of usual residence (deaths of care home residents). This has been reported to the Manchester Care Home Board on a regular basis over the course of the pandemic.
iii) Calculation of Slope Index of Inequalities (SII) for premature mortality from preventable conditions in order to track changes in inequalities within the city. The production of his data has led to a renewed focus on actions to address health inequalities in Manchester and has prompted the production of a new Inclusive Growth Strategy that recognises the need to grow the economy of the city
in a way that benefits all citizens.
iv) Development of ward and neighbourhood health profiles .
The profiles have informed the work of the 12 Integrated Neighbourhood Teams (INTs) that are a key part of the structure of the Manchester Local Care Organisation (LCO). The priorities identified in each of the 12 Neighbourhood Plans stem directly from the health and care needs of each area which, in turn, have been informed by detailed analysis of Civil Registration and other data.
v) Understanding excess deaths involving COVID-19 - Civil Registration data is contributing to an understanding of deaths involving COVID-19. Specifically, Manchester City Council are using death data for the period 2016 to 2019 as a reference point against which can assess whether the number of deaths since the beginning of the Coronavirus outbreak is above the 'norm' for the past few years.
Unchanged: Objective for processing, Expected output, Expected measurable benefits.
Objective for processing
The births and deaths data is of significant value to the Local Authority in enabling analysts to respond to local public health needs. Evaluations of births and deaths in their local area allows local authorities to perform the following:
a) Measuring the health, mortality or care needs of the population, for specific geographical area or population group;
b) Planning, evaluating or monitoring health and social care policies, services or interventions; and,
c) Protecting or improving the public health, including such subjects as the incidence of disease, the characteristics (e.g. age, gender, occupation) of persons with disease, the risk factors pertaining to sections of the population, investigating specific areas of local concern relating to the health of the local population, or the effectiveness of medical treatments.
The births and deaths data both contain identifiable data which is required when linking into other datasets to enhance and verify the statistics produced, or to investigate specific areas of local concern relating to the health of the local population, e.g. deaths data is used to produce suicide audits by linking into hospital / GP / social care data and births data can be linked into child care / social care systems when infant deaths are investigated usually as part of local “Safeguarding Children” projects.
Such local investigations will reflect local need and thus vary in relation to the specific local authority, but the detail below provides specific examples of such local investigations which provide evidence on why identifiable data is needed in order to carry out the purposes stated within a), b) and c) above.
Each Local Authority will only be permitted to process the data in the way outlined in this application. Processing outside the terms of this application will require a separate application as an amendment to this agreement
In relation to mortality data :
Suicide Audit – As part of on-going (or the introduction of) suicide audit processes identifiable information will be required to support this work. Such audits require specific identifiable fields, including postcode of usual residence and postcode of place of death (further refined using the place of death text) to analyse and investigate of deaths in public places to support work on accident prevention strategies and the identification of hotspots and locational characteristics for accidental harm and suicide. For example, exact postcode is used to calculate distance from home address to identify suicide hotspots which are a distance from place of resident as a further means of classifying risk. NHS number, date of death and date of registration fields are used when conducting local audits at the coroner’s office, to match their records with the death record in order to supplement information which is subsequently aggregated within the final internal report.
To expand on what is noted above, postcode of residence and place of death (further refined using the place of death text) is used for hotspot mapping and in particular is used to inform suicide prevention work through target hotspot areas of location types within the county and undertake specific preventative work. Pseudonymised data would be insufficient as lower super output areas or partial postcode) cover too large an area to identify exact locations and features or calculate distance from home, especially in more dispersed rural areas, where locations may be many miles apart. This granularity of data is required since the local authorities are where appropriate taking specific locally based action rather than just authority wide activity. The suicide audit process involves collecting information from services such as police, healthcare providers and GP practices of the factors involved in the suicide and NHS number, date of death and other identifiable data will be essential for doing this. As with the hotspot work this is about understanding risk, detecting local issues to inform evidence-based interventions addressing known local factors.
Accidental/Preventable Deaths – Postcode of usual residence and postcode of place of death (further refined using the place of death text) are used for the analysis and investigation of deaths in public places to support work the identification of hotspots and locational characteristics for accident – with identification of types of areas (e.g. parks, railway lines, pavements) as well as particular locations. This level of analysis enables preventative work to be targeted to high risk areas (both in terms of residence as well as occurrence). As a specific example relating to one Local Authority, it carried out work that identified a number of suicides at a particular railway location, and hence facilitated suicide prevention training with staff members at their local Railway Station.
In conjunction with postcode of usual residence and postcode of place of death, detailed analysis of cause of death allows the monitoring of patterns of preventable or amenable disease, particularly avoidable deaths including the major killers, i.e. circulatory, cancer and respiratory disease.
Seasonal monitoring of deaths – Date of death is used both to establish seasonal patterns of mortality (such as excess winter deaths) and the correlation of this with data on weather conditions and local health and social care system pressures, and in the case of any deaths going to coroner to track the length of time between death and registration.
In relation to local population health needs:
Bespoke geography analysis – The postcode also enables analysis by non-coterminous geographies such as highly trafficked roads so the Local Authority can complete aggregate analysis of areas with particular risk factors – for example to see if people living on main roads have high risks of respiratory disease than people who live on cul-de-sacs.
The postcode and place of death text also enables Local Authorities to identify locations of particular types such as care homes or other residential institutions, analysis of deaths by homes enables targeted prevention work (such as control of infection or falls prevention).
Further, bespoke geographies created by postcodes support the assessment of environmental risks to health. For example, a Local Authority may be required to investigate a number of residential streets which have been built on potentially contaminated ground to see if there are any unusual disease patterns. One specific Local Authority needed to identify deaths where the person was resident in particular streets, in the case of a previous cancer cluster possibly relating to chemicals in soil.
Postcodes are used to identify births along these roads to see if there are increased risks of low birth-weight or stillbirths.
Deprivation and inequalities – Postcode is also used to sum data to aggregate geographies that are not based on LSOAs, to facilitate partnership working and to look at small area clusters such as pockets of deprivation, poor quality housing and inequalities in healthcare provision which are all found to be smaller than an LSOA level, identifying the conditions contributing to the greatest levels of premature and preventable deaths, and identifying areas for further investigation.
Child deaths and stillbirths – Identifiable data is also required to provide any data needed to fulfil our duties for audit under the Child Overview Death Panel and other Safeguarding investigations – using NHS numbers to identify these cases and look for patterns, date of birth of mother/postcode of mother to investigate trends based on mother’s location or age.
Audit of medical professionals – there is a requirement for NHS number to facilitate clinical audits by medical professionals into unusual patterns of death; this is part of the Local Authority’s statutory duty to protect the health of the population from risks to Public Health, from both medical conditions and also from clinical practice. Some recent specific examples include :-
• An unusually high number of deaths from epilepsy were noted from the data, and these were audited against GP practice data having had access to identifiable data to identify records.
• GP practices raised concerns about health in their practices, having noticed clusters of cases that they request the Local Authority to investigate.
• Following the Shipman Enquiry recommendations, Local Authorities are required to investigate any concerns raised about clinical practitioners. This duty was given to PCTs in 2007, but information source is the PCMD and is part of the PH duty to provide analysis and evidence to CCGs.
Seasonal monitoring of births – A Local Authorities have a requirement for the inclusion of date of birth of child as it is used to monitor seasonal patterns of births. Postcode of usual residence of mother and postcode of place of birth of child are also used to establish and monitor distance from home to place of birth and monitor catchment areas for different providers for future service planning covering areas based on postcodes rather than LSOA. This will not include any data sharing with providers or other third parties.
Age of mother is required to investigate trends in both young mothers (to support teenage conception and Family Nurse Partnership programmes) and older mothers (to support service planning for higher risk pregnancies). This will not include any data sharing with providers or other third parties.
Expected output
A mixture of regular annual projects and ad hoc projects triggered by local conditions will require the use of births and deaths data that will result in published summary statistics for public health projects, and these may be used internally or externally with partners in the project.
Typical uses of deaths data are for the following:
a) Joint Strategic Needs Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) Suicide audits (this specifically requires NHS number)
j) End of life care projects
k) Abdominal Aortic Aneurysm (AAA) screening programme
l) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
Typical uses of births data are for the following:
a) Joint Strategic Needs Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data (with small numbers suppressed).
Benefits reported
Civil Registration data has been used for a number of purposes, including:
i) Analysis of recent patterns and trends in infant deaths over time in order to support the annual review of the Manchester Reducing Infant Mortality Strategy. The published strategy makes extensive use of Civil Registration data, which has also been used as part of committee reports and updates to senior leaders across the health and care system (see http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy).
ii) Further analysis of death from suicide and undetermined injuries as part of the work to refresh the Manchester Suicide Prevention Plan. Civil Registration data is at the heart of the Manchester Suicide Prevention Plan, the actions in which have contributed to a fall in the number and rates of suicide in Manchester (see https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf).
iii) Understanding mortality associated with COVID-19 - Civil Registration data has been used extensively to explore deaths and excess deaths over the course of the Coronavirus pandemic, including trends and patterns of both overall mortality and deaths involving COVID-19 based on cause of death and place of death information contained in the Primary Care Mortality Dataset. Data has been reported to Manchester Health and Care Commissioning (MHCC) Performance and Quality Improvement Committee on a regular basis.
iv) Care Home deaths involving COVID-19. Detailed analysis has been carried out to look at the impact of COVID-19 on mortality in care homes from the perspective of both place of death (deaths occurring in care homes) and place of usual residence (deaths of care home residents). This has been reported to the Manchester Care Home Board on a regular basis over the course of the pandemic.
DARS-NIC-147809-X5N8G-v2.3 1 June 2020 to 31 May 2021
- Title
- Access to Civil Registration Data
- Commercial
- No
- Sublicensing
- No
- Datasets
- 3
- Files released
- 23
Datasets: Civil Registration - Births; Primary Care Mortality Data; Vital Statistics Service
What changed from DARS-NIC-147809-X5N8G-v1.5
Text removed is struck through; text added is underlined. Unchanged paragraphs are summarised rather than repeated.
| Field | Was | Became |
|---|---|---|
| Start date | 2020-06-01 | |
| End date | 2021-05-31 |
Benefits reported
[1 paragraph unchanged]
i) In-depth analysis of infant deaths to identify patterns and trends over time in order to support the development of Reducing Infant Mortality
Strategy
Strategy. The published strategy (https://secure.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategyhttps://secure.manchester.gov.uk/downloads/download/7002/reducing_infant_mort) http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy) makes extensive use of Civil Registration data, which has also been used as part of numerous committee reports and updates to senior leaders across
ii) Further analysis of death from suicide and undetermined injuries to underpin development of Manchester Suicide Prevention Strategy
the health and care system.
iii) Use of data on mother's country of birth to inform targeting of Latent TB Screening Programme and development of antenatal and maternity services for refugee and asylum seeker populations
ii) Further analysis of death from suicide and undetermined injuries to underpin development of Manchester Suicide Prevention Plan.
iv) Calculation of Slope Index of Inequalities (SII) for premature mortality from preventable conditions in order to track changes in inequalities within the city
Civil Registration data is at the heart of the Manchester Suicide Prevention Plan (https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf). The actions identified in the plan have contributed to a fall in the number and rates of suicide such that Manchester is now below the England average
v) Development of ward and neighbourhood health profiles
iii) Calculation of Slope Index of Inequalities (SII) for premature mortality from preventable conditions in order to track changes in inequalities within the city. The production of his data has led to a renewed focus on actions to address health inequalities in Manchester and has prompted the production of a new Inclusive Growth Strategy that recognises the need to grow the economy of the city
in a way that benefits all citizens.
iv) Development of ward and neighbourhood health profiles .
The profiles have informed the work of the 12 Integrated Neighbourhood Teams (INTs) that are a key part of the structure of the Manchester Local Care Organisation (LCO). The priorities identified in each of the 12 Neighbourhood Plans stem directly from the health and care needs of each area which, in turn, have been informed by detailed analysis of Civil Registration and other data.
v) Understanding excess deaths involving COVID-19 - Civil Registration data is contributing to an understanding of deaths involving COVID-19. Specifically, Manchester City Council are using death data for the period 2016 to 2019 as a reference point against which can assess whether the number of deaths since the beginning of the Coronavirus outbreak is above the 'norm' for the past few years.
Unchanged: Objective for processing, Processing activities, Expected output, Expected measurable benefits.
Objective for processing
The births and deaths data is of significant value to the Local Authority in enabling analysts to respond to local public health needs. Evaluations of births and deaths in their local area allows local authorities to perform the following:
a) Measuring the health, mortality or care needs of the population, for specific geographical area or population group;
b) Planning, evaluating or monitoring health and social care policies, services or interventions; and,
c) Protecting or improving the public health, including such subjects as the incidence of disease, the characteristics (e.g. age, gender, occupation) of persons with disease, the risk factors pertaining to sections of the population, investigating specific areas of local concern relating to the health of the local population, or the effectiveness of medical treatments.
The births and deaths data both contain identifiable data which is required when linking into other datasets to enhance and verify the statistics produced, or to investigate specific areas of local concern relating to the health of the local population, e.g. deaths data is used to produce suicide audits by linking into hospital / GP / social care data and births data can be linked into child care / social care systems when infant deaths are investigated usually as part of local “Safeguarding Children” projects.
Such local investigations will reflect local need and thus vary in relation to the specific local authority, but the detail below provides specific examples of such local investigations which provide evidence on why identifiable data is needed in order to carry out the purposes stated within a), b) and c) above.
Each Local Authority will only be permitted to process the data in the way outlined in this application. Processing outside the terms of this application will require a separate application as an amendment to this agreement
In relation to mortality data :
Suicide Audit – As part of on-going (or the introduction of) suicide audit processes identifiable information will be required to support this work. Such audits require specific identifiable fields, including postcode of usual residence and postcode of place of death (further refined using the place of death text) to analyse and investigate of deaths in public places to support work on accident prevention strategies and the identification of hotspots and locational characteristics for accidental harm and suicide. For example, exact postcode is used to calculate distance from home address to identify suicide hotspots which are a distance from place of resident as a further means of classifying risk. NHS number, date of death and date of registration fields are used when conducting local audits at the coroner’s office, to match their records with the death record in order to supplement information which is subsequently aggregated within the final internal report.
To expand on what is noted above, postcode of residence and place of death (further refined using the place of death text) is used for hotspot mapping and in particular is used to inform suicide prevention work through target hotspot areas of location types within the county and undertake specific preventative work. Pseudonymised data would be insufficient as lower super output areas or partial postcode) cover too large an area to identify exact locations and features or calculate distance from home, especially in more dispersed rural areas, where locations may be many miles apart. This granularity of data is required since the local authorities are where appropriate taking specific locally based action rather than just authority wide activity. The suicide audit process involves collecting information from services such as police, healthcare providers and GP practices of the factors involved in the suicide and NHS number, date of death and other identifiable data will be essential for doing this. As with the hotspot work this is about understanding risk, detecting local issues to inform evidence-based interventions addressing known local factors.
Accidental/Preventable Deaths – Postcode of usual residence and postcode of place of death (further refined using the place of death text) are used for the analysis and investigation of deaths in public places to support work the identification of hotspots and locational characteristics for accident – with identification of types of areas (e.g. parks, railway lines, pavements) as well as particular locations. This level of analysis enables preventative work to be targeted to high risk areas (both in terms of residence as well as occurrence). As a specific example relating to one Local Authority, it carried out work that identified a number of suicides at a particular railway location, and hence facilitated suicide prevention training with staff members at their local Railway Station.
In conjunction with postcode of usual residence and postcode of place of death, detailed analysis of cause of death allows the monitoring of patterns of preventable or amenable disease, particularly avoidable deaths including the major killers, i.e. circulatory, cancer and respiratory disease.
Seasonal monitoring of deaths – Date of death is used both to establish seasonal patterns of mortality (such as excess winter deaths) and the correlation of this with data on weather conditions and local health and social care system pressures, and in the case of any deaths going to coroner to track the length of time between death and registration.
In relation to local population health needs:
Bespoke geography analysis – The postcode also enables analysis by non-coterminous geographies such as highly trafficked roads so the Local Authority can complete aggregate analysis of areas with particular risk factors – for example to see if people living on main roads have high risks of respiratory disease than people who live on cul-de-sacs.
The postcode and place of death text also enables Local Authorities to identify locations of particular types such as care homes or other residential institutions, analysis of deaths by homes enables targeted prevention work (such as control of infection or falls prevention).
Further, bespoke geographies created by postcodes support the assessment of environmental risks to health. For example, a Local Authority may be required to investigate a number of residential streets which have been built on potentially contaminated ground to see if there are any unusual disease patterns. One specific Local Authority needed to identify deaths where the person was resident in particular streets, in the case of a previous cancer cluster possibly relating to chemicals in soil.
Postcodes are used to identify births along these roads to see if there are increased risks of low birth-weight or stillbirths.
Deprivation and inequalities – Postcode is also used to sum data to aggregate geographies that are not based on LSOAs, to facilitate partnership working and to look at small area clusters such as pockets of deprivation, poor quality housing and inequalities in healthcare provision which are all found to be smaller than an LSOA level, identifying the conditions contributing to the greatest levels of premature and preventable deaths, and identifying areas for further investigation.
Child deaths and stillbirths – Identifiable data is also required to provide any data needed to fulfil our duties for audit under the Child Overview Death Panel and other Safeguarding investigations – using NHS numbers to identify these cases and look for patterns, date of birth of mother/postcode of mother to investigate trends based on mother’s location or age.
Audit of medical professionals – there is a requirement for NHS number to facilitate clinical audits by medical professionals into unusual patterns of death; this is part of the Local Authority’s statutory duty to protect the health of the population from risks to Public Health, from both medical conditions and also from clinical practice. Some recent specific examples include :-
• An unusually high number of deaths from epilepsy were noted from the data, and these were audited against GP practice data having had access to identifiable data to identify records.
• GP practices raised concerns about health in their practices, having noticed clusters of cases that they request the Local Authority to investigate.
• Following the Shipman Enquiry recommendations, Local Authorities are required to investigate any concerns raised about clinical practitioners. This duty was given to PCTs in 2007, but information source is the PCMD and is part of the PH duty to provide analysis and evidence to CCGs.
Seasonal monitoring of births – A Local Authorities have a requirement for the inclusion of date of birth of child as it is used to monitor seasonal patterns of births. Postcode of usual residence of mother and postcode of place of birth of child are also used to establish and monitor distance from home to place of birth and monitor catchment areas for different providers for future service planning covering areas based on postcodes rather than LSOA. This will not include any data sharing with providers or other third parties.
Age of mother is required to investigate trends in both young mothers (to support teenage conception and Family Nurse Partnership programmes) and older mothers (to support service planning for higher risk pregnancies). This will not include any data sharing with providers or other third parties.
Expected output
A mixture of regular annual projects and ad hoc projects triggered by local conditions will require the use of births and deaths data that will result in published summary statistics for public health projects, and these may be used internally or externally with partners in the project.
Typical uses of deaths data are for the following:
a) Joint Strategic Needs Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) Suicide audits (this specifically requires NHS number)
j) End of life care projects
k) Abdominal Aortic Aneurysm (AAA) screening programme
l) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
Typical uses of births data are for the following:
a) Joint Strategic Needs Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data (with small numbers suppressed).
Benefits reported
Civil Registration data has been used for a number of purposes, including:
i) In-depth analysis of infant deaths to identify patterns and trends over time in order to support the development of Reducing Infant Mortality Strategy. The published strategy (https://secure.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategyhttps://secure.manchester.gov.uk/downloads/download/7002/reducing_infant_mort) http://www.manchester.gov.uk/downloads/download/7002/reducing_infant_mortality_strategy) makes extensive use of Civil Registration data, which has also been used as part of numerous committee reports and updates to senior leaders across
the health and care system.
ii) Further analysis of death from suicide and undetermined injuries to underpin development of Manchester Suicide Prevention Plan.
Civil Registration data is at the heart of the Manchester Suicide Prevention Plan (https://www.manchester.gov.uk/download/downloads/id/26694/manchester_suicide_prevention_plan.pdf). The actions identified in the plan have contributed to a fall in the number and rates of suicide such that Manchester is now below the England average
iii) Calculation of Slope Index of Inequalities (SII) for premature mortality from preventable conditions in order to track changes in inequalities within the city. The production of his data has led to a renewed focus on actions to address health inequalities in Manchester and has prompted the production of a new Inclusive Growth Strategy that recognises the need to grow the economy of the city
in a way that benefits all citizens.
iv) Development of ward and neighbourhood health profiles .
The profiles have informed the work of the 12 Integrated Neighbourhood Teams (INTs) that are a key part of the structure of the Manchester Local Care Organisation (LCO). The priorities identified in each of the 12 Neighbourhood Plans stem directly from the health and care needs of each area which, in turn, have been informed by detailed analysis of Civil Registration and other data.
v) Understanding excess deaths involving COVID-19 - Civil Registration data is contributing to an understanding of deaths involving COVID-19. Specifically, Manchester City Council are using death data for the period 2016 to 2019 as a reference point against which can assess whether the number of deaths since the beginning of the Coronavirus outbreak is above the 'norm' for the past few years.
DARS-NIC-147809-X5N8G-v1.5 1 June 2019 to 31 May 2020
- Title
- Access to Civil Registration Data
- Commercial
- No
- Sublicensing
- No
- Datasets
- 3
- Files released
- 5
Datasets: Civil Registration - Births; Primary Care Mortality Data; Vital Statistics Service
Objective for processing
The births and deaths data is of significant value to the Local Authority in enabling analysts to respond to local public health needs. Evaluations of births and deaths in their local area allows local authorities to perform the following:
a) Measuring the health, mortality or care needs of the population, for specific geographical area or population group;
b) Planning, evaluating or monitoring health and social care policies, services or interventions; and,
c) Protecting or improving the public health, including such subjects as the incidence of disease, the characteristics (e.g. age, gender, occupation) of persons with disease, the risk factors pertaining to sections of the population, investigating specific areas of local concern relating to the health of the local population, or the effectiveness of medical treatments.
The births and deaths data both contain identifiable data which is required when linking into other datasets to enhance and verify the statistics produced, or to investigate specific areas of local concern relating to the health of the local population, e.g. deaths data is used to produce suicide audits by linking into hospital / GP / social care data and births data can be linked into child care / social care systems when infant deaths are investigated usually as part of local “Safeguarding Children” projects.
Such local investigations will reflect local need and thus vary in relation to the specific local authority, but the detail below provides specific examples of such local investigations which provide evidence on why identifiable data is needed in order to carry out the purposes stated within a), b) and c) above.
Each Local Authority will only be permitted to process the data in the way outlined in this application. Processing outside the terms of this application will require a separate application as an amendment to this agreement
In relation to mortality data :
Suicide Audit – As part of on-going (or the introduction of) suicide audit processes identifiable information will be required to support this work. Such audits require specific identifiable fields, including postcode of usual residence and postcode of place of death (further refined using the place of death text) to analyse and investigate of deaths in public places to support work on accident prevention strategies and the identification of hotspots and locational characteristics for accidental harm and suicide. For example, exact postcode is used to calculate distance from home address to identify suicide hotspots which are a distance from place of resident as a further means of classifying risk. NHS number, date of death and date of registration fields are used when conducting local audits at the coroner’s office, to match their records with the death record in order to supplement information which is subsequently aggregated within the final internal report.
To expand on what is noted above, postcode of residence and place of death (further refined using the place of death text) is used for hotspot mapping and in particular is used to inform suicide prevention work through target hotspot areas of location types within the county and undertake specific preventative work. Pseudonymised data would be insufficient as lower super output areas or partial postcode) cover too large an area to identify exact locations and features or calculate distance from home, especially in more dispersed rural areas, where locations may be many miles apart. This granularity of data is required since the local authorities are where appropriate taking specific locally based action rather than just authority wide activity. The suicide audit process involves collecting information from services such as police, healthcare providers and GP practices of the factors involved in the suicide and NHS number, date of death and other identifiable data will be essential for doing this. As with the hotspot work this is about understanding risk, detecting local issues to inform evidence-based interventions addressing known local factors.
Accidental/Preventable Deaths – Postcode of usual residence and postcode of place of death (further refined using the place of death text) are used for the analysis and investigation of deaths in public places to support work the identification of hotspots and locational characteristics for accident – with identification of types of areas (e.g. parks, railway lines, pavements) as well as particular locations. This level of analysis enables preventative work to be targeted to high risk areas (both in terms of residence as well as occurrence). As a specific example relating to one Local Authority, it carried out work that identified a number of suicides at a particular railway location, and hence facilitated suicide prevention training with staff members at their local Railway Station.
In conjunction with postcode of usual residence and postcode of place of death, detailed analysis of cause of death allows the monitoring of patterns of preventable or amenable disease, particularly avoidable deaths including the major killers, i.e. circulatory, cancer and respiratory disease.
Seasonal monitoring of deaths – Date of death is used both to establish seasonal patterns of mortality (such as excess winter deaths) and the correlation of this with data on weather conditions and local health and social care system pressures, and in the case of any deaths going to coroner to track the length of time between death and registration.
In relation to local population health needs:
Bespoke geography analysis – The postcode also enables analysis by non-coterminous geographies such as highly trafficked roads so the Local Authority can complete aggregate analysis of areas with particular risk factors – for example to see if people living on main roads have high risks of respiratory disease than people who live on cul-de-sacs.
The postcode and place of death text also enables Local Authorities to identify locations of particular types such as care homes or other residential institutions, analysis of deaths by homes enables targeted prevention work (such as control of infection or falls prevention).
Further, bespoke geographies created by postcodes support the assessment of environmental risks to health. For example, a Local Authority may be required to investigate a number of residential streets which have been built on potentially contaminated ground to see if there are any unusual disease patterns. One specific Local Authority needed to identify deaths where the person was resident in particular streets, in the case of a previous cancer cluster possibly relating to chemicals in soil.
Postcodes are used to identify births along these roads to see if there are increased risks of low birth-weight or stillbirths.
Deprivation and inequalities – Postcode is also used to sum data to aggregate geographies that are not based on LSOAs, to facilitate partnership working and to look at small area clusters such as pockets of deprivation, poor quality housing and inequalities in healthcare provision which are all found to be smaller than an LSOA level, identifying the conditions contributing to the greatest levels of premature and preventable deaths, and identifying areas for further investigation.
Child deaths and stillbirths – Identifiable data is also required to provide any data needed to fulfil our duties for audit under the Child Overview Death Panel and other Safeguarding investigations – using NHS numbers to identify these cases and look for patterns, date of birth of mother/postcode of mother to investigate trends based on mother’s location or age.
Audit of medical professionals – there is a requirement for NHS number to facilitate clinical audits by medical professionals into unusual patterns of death; this is part of the Local Authority’s statutory duty to protect the health of the population from risks to Public Health, from both medical conditions and also from clinical practice. Some recent specific examples include :-
• An unusually high number of deaths from epilepsy were noted from the data, and these were audited against GP practice data having had access to identifiable data to identify records.
• GP practices raised concerns about health in their practices, having noticed clusters of cases that they request the Local Authority to investigate.
• Following the Shipman Enquiry recommendations, Local Authorities are required to investigate any concerns raised about clinical practitioners. This duty was given to PCTs in 2007, but information source is the PCMD and is part of the PH duty to provide analysis and evidence to CCGs.
Seasonal monitoring of births – A Local Authorities have a requirement for the inclusion of date of birth of child as it is used to monitor seasonal patterns of births. Postcode of usual residence of mother and postcode of place of birth of child are also used to establish and monitor distance from home to place of birth and monitor catchment areas for different providers for future service planning covering areas based on postcodes rather than LSOA. This will not include any data sharing with providers or other third parties.
Age of mother is required to investigate trends in both young mothers (to support teenage conception and Family Nurse Partnership programmes) and older mothers (to support service planning for higher risk pregnancies). This will not include any data sharing with providers or other third parties.
Expected output
A mixture of regular annual projects and ad hoc projects triggered by local conditions will require the use of births and deaths data that will result in published summary statistics for public health projects, and these may be used internally or externally with partners in the project.
Typical uses of deaths data are for the following:
a) Joint Strategic Needs Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) Suicide audits (this specifically requires NHS number)
j) End of life care projects
k) Abdominal Aortic Aneurysm (AAA) screening programme
l) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
Typical uses of births data are for the following:
a) Joint Strategic Needs Assessment (JSNAs) and Pharmaceutical Needs Assessment (PNA);
b) Joint Health and Wellbeing Strategies;
c) the annual report of the Director of Public Health;
d) reports commissioned by the Health and Wellbeing Board;
e) public health and wider Local Authority health and wellbeing commissioning strategies and plans;
f) public health advice to NHS commissioners;
g) local health profiles;
h) health impact assessments
i) responses to internal and external requests for information and intelligence on the health and wellbeing of the population.
The specific content and target dates for these outputs will be for the Local Authority to determine, although it is required to comply with national guidance published by the Department of Health, Public Health England and others as appropriate, for example on the timetable for publishing refreshed JSNAs.
All outputs will be of aggregated data (with small numbers suppressed).
Benefits reported
Civil Registration data has been used for a number of purposes, including:
i) In-depth analysis of infant deaths to identify patterns and trends over time in order to support the development of Reducing Infant Mortality Strategy
ii) Further analysis of death from suicide and undetermined injuries to underpin development of Manchester Suicide Prevention Strategy
iii) Use of data on mother's country of birth to inform targeting of Latent TB Screening Programme and development of antenatal and maternity services for refugee and asylum seeker populations
iv) Calculation of Slope Index of Inequalities (SII) for premature mortality from preventable conditions in order to track changes in inequalities within the city
v) Development of ward and neighbourhood health profiles
Register history
When this agreement appeared in, or was edited in, each monthly edition of the register. Built by comparing every edition this site holds, the earliest of which is July 2021.
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July 2021 —
already listed in the earliest edition this site holds, so it may be older. 3 versions: DARS-NIC-147809-X5N8G-v1.5, DARS-NIC-147809-X5N8G-v2.3, DARS-NIC-147809-X5N8G-v3.4
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June 2024
1 version added: DARS-NIC-147809-X5N8G-v4.3
Cite this page
NHS England (2026) Data Uses Register, September 2026 edition, agreement DARS-NIC-147809-X5N8G, “Access to Civil Registration Data”. Read via NHS Data Access Explorer (unofficial), https://healthdatauses.uk/agreements/dars-nic-147809-x5n8g/ (accessed [date]).
This address stays the same, but the page is rebuilt with each monthly edition, so the citation names the edition it shows. Every edition's data is kept in the facts store.
Source: datausesregister_september2026.xlsx, September 2026 edition of the NHS England Data Uses Register. Search that workbook for DARS-NIC-147809-X5N8G to see the original rows.